EP2693208B1 - Dispositif pour mesurer un échantillon biologique - Google Patents

Dispositif pour mesurer un échantillon biologique Download PDF

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Publication number
EP2693208B1
EP2693208B1 EP12765681.7A EP12765681A EP2693208B1 EP 2693208 B1 EP2693208 B1 EP 2693208B1 EP 12765681 A EP12765681 A EP 12765681A EP 2693208 B1 EP2693208 B1 EP 2693208B1
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EP
European Patent Office
Prior art keywords
biological sample
sensor
section
sample measuring
acceleration sensor
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Application number
EP12765681.7A
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German (de)
English (en)
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EP2693208A4 (fr
EP2693208A1 (fr
Inventor
Reiko Kondo
Takashi Miki
Atsushi Watanabe
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PHC Holdings Corp
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Panasonic Healthcare Holdings Co Ltd
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Priority to EP17188359.8A priority Critical patent/EP3270147B1/fr
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Publication of EP2693208A4 publication Critical patent/EP2693208A4/fr
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    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N27/00—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means
    • G01N27/26—Investigating or analysing materials by the use of electric, electrochemical, or magnetic means by investigating electrochemical variables; by using electrolysis or electrophoresis
    • G01N27/28—Electrolytic cell components
    • G01N27/30—Electrodes, e.g. test electrodes; Half-cells
    • G01N27/327—Biochemical electrodes, e.g. electrical or mechanical details for in vitro measurements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150015—Source of blood
    • A61B5/150022—Source of blood for capillary blood or interstitial fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150358—Strips for collecting blood, e.g. absorbent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/151—Devices specially adapted for taking samples of capillary blood, e.g. by lancets, needles or blades
    • A61B5/15101—Details
    • A61B5/15126—Means for controlling the lancing movement, e.g. 2D- or 3D-shaped elements, tooth-shaped elements or sliding guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/157—Devices characterised by integrated means for measuring characteristics of blood
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/483—Physical analysis of biological material
    • G01N33/487—Physical analysis of biological material of liquid biological material
    • G01N33/4875—Details of handling test elements, e.g. dispensing or storage, not specific to a particular test method
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/001—Enzyme electrodes
    • C12Q1/005—Enzyme electrodes involving specific analytes or enzymes
    • C12Q1/006—Enzyme electrodes involving specific analytes or enzymes for glucose
    • C—CHEMISTRY; METALLURGY
    • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12Q—MEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/54—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving glucose or galactose
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/90—Enzymes; Proenzymes
    • G01N2333/902—Oxidoreductases (1.)
    • G01N2333/904—Oxidoreductases (1.) acting on CHOH groups as donors, e.g. glucose oxidase, lactate dehydrogenase (1.1)
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/64—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving ketones
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/66—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood sugars, e.g. galactose

Definitions

  • the present invention relates to a biological sample measuring apparatus, and particularly to a biological sample measuring apparatus for measuring blood glucose levels, for example.
  • a conventionally a biological sample measuring apparatus includes a main body case having a sensor insertion section, a measurement section connected to the sensor insertion section, a control section connected to the measurement section, and a display section connected to the control section (see, WO02/044705 , for example).
  • a problem with the conventional biological sample measuring apparatuses lies in that the measurement accuracy may be low in some cases.
  • the conventional biological sample measuring apparatus when blood is spotted on a blood glucose level sensor inserted in the sensor insertion section, the blood reaches a reaction reagent, causing electro chemical reactions. Then, by observing the states of the electrochemical reactions using the measurement section, blood glucose level is detected.
  • the blood glucose level sensor when an impact is applied to the blood glucose level sensor after the spotting of blood on the blood glucose level sensor but before the completion of the measurement, the blood may not be allowed to smoothly reach a reagent portion, and as a result, the measurement accuracy may be lowered.
  • Such an impact tends to be caused when separating a finger from the blood glucose level sensor at the time of spot application of blood exuded from the punctured finger on the blood glucose level sensor. Specifically, in such a situation that the blood glucose level sensor is flicked by the finger, the spotted blood fails to smoothly reach the reaction reagent because of the impact thus caused, and as a result, the measurement accuracy is lowered.
  • an object of the present invention is to improve the measurement accuracy of a biological sample measuring apparatus.
  • the present invention provides a biological sample measuring apparatus according to claim 1.
  • the desired object is achieved.
  • the measurement accuracy can be improved.
  • the impact thus applied is detected by the acceleration sensor.
  • the impact level is greater than a predetermined value, it is possible to display, on the display section, the fact that the measurement result measured by the measurement section is inadequate.
  • inadequate measured values are not displayed, and the measurement accuracy is improved.
  • FIG. 1 is a perspective view of a biological sample measuring apparatus of the present embodiment
  • FIG. 2 is a sectional view thereof
  • FIG. 3 is a top view thereof
  • FIG. 4 is a control block diagram thereof.
  • the biological sample measuring apparatus of the present embodiment includes main body case 2 having sensor insertion section 1 at one end thereof.
  • sensor 11 having spot application section 11a is provided for insertion.
  • Display section 3, and operation buttons 14 and 15 are provided on the upper surface of main body case 2.
  • sensor insertion section 1 is disposed at an end of substrate (electric circuit substrate) 4 provided in main body case 2.
  • acceleration sensor 5 is disposed in sensor insertion section 1 as illustrated in FIG. 2 and FIG. 3 .
  • a connector section (not illustrated) that electrically connects with biological sample measuring sensor 11 inserted thereto is provided inside sensor insertion section 1.
  • a measurement section configured on substrate 4 and the connecting section of biological sample measuring sensor 11 are electrically connected to each other via the connector section.
  • acceleration sensor 5 be disposed at a position adjacent to the connector section.
  • acceleration sensor 5 is disposed on substrate 4 in the proximity of control device 6; in other words, acceleration sensor 5 is disposed on substrate 4 in the proximity of control device 6 functioning as a measurement section or control section.
  • acceleration sensor 5 is disposed in the proximity of sensor insertion section 1.
  • Control device 6 which is called the microcomputer is disposed on the upper surface of substrate 4. As illustrated in FIG. 4 , control device 6 includes measurement section 7 connected to sensor insertion section 1, control section 8 connected to measurement section 7, determination section 9 connected to acceleration sensor 5, and memory section 10 connected to determination section 9. Determination section 9 and memory section 10 are connected to control section 8.
  • sensor insertion section 1 is provided with insertion detection section 12 for detecting insertion of biological sample measuring sensor 11, and insertion detection section 12 is connected to control section 8. Further, display section 3, buzzer 13 as an example of alarm means, and operation buttons 14 and 15 are connected to control section 8.
  • biological sample measuring sensor 11 blood glucose level sensor
  • sensor insertion section 1 sensor insertion section 1 as illustrated in FIG. 1 .
  • power source is turned on (step S1 in FIG. 5 ).
  • blood exuded from the punctured finger is spotted on spot application section 11a of biological sample measuring sensor 11 in the state illustrated in FIG. 1 (step S5 in FIG. 5 ).
  • the spotted blood reaches a reagent (not illustrated) in biological sample measuring sensor 11 from spot application section 11a, and the blood and the reagent causes electrochemical reactions.
  • the signal of the chemical reaction thus caused is measured at measurement section 7 (S10 in FIG. 5 ), and the results of the measurement are displayed on display section 3 (S12 in FIG. 5 ).
  • determination section 9 determines whether or not the value of the output is equal to or greater than a predetermined value (step S3 and/or S8).
  • a flag indicating that "excessive impact has been applied” is recorded in memory section 10 at step S4 or step S9.
  • control section 8 determines at step S11 whether the flag has been input to memory section 10 or not. When the flag is found, an error message is displayed on display section 3. An error warning may also be given using buzzer 13 together with the display.
  • FIGS. 6A to 6D illustrate exemplary error messages to be displayed on display section 3.
  • FIG. 6A is an error message using a dot matrix pattern to illustrate the fact that an impact has been applied
  • FIG. 6B is an error message using an error code (in a case of a segment display) to illustrate the fact that an impact has been applied.
  • FIG. 6C and FIG. 6D will be described in Embodiment 3.
  • an excessive impact applied to sensor insertion section 1 is detected by acceleration sensor 5.
  • an error message is displayed on display section 3.
  • inadequate measured values are prevented from being displayed. In this manner, the measurement accuracy is increased in the present embodiment.
  • acceleration sensor 5 in order to detect an excessive impact applied to sensor insertion section 1 by acceleration sensor 5, acceleration sensor 5 is disposed in sensor insertion section 1 as illustrated in FIG. 3 . To be more specific, acceleration sensor 5 is mounted on substrate 4 in sensor insertion section 1.
  • Acceleration sensor 5 is preferably a three-dimensional acceleration sensor. Three-dimensional acceleration sensors can measure acceleration components in axial directions X, Y and Z. Therefore, when three-dimensional acceleration sensors are used, the direction and amount of the impact can be recorded, and the impact received at sensor insertion section 1 can be grasped in more detail.
  • three-dimensional acceleration sensors examples include piezoresistive acceleration sensors, capacitive acceleration sensors, thermal detection acceleration sensors, and the like. Three-dimensional acceleration sensors are applied to mobile phones, game controllers, vibration detection of hard disks, posture control of robots, and the like.
  • Three-dimensional piezoresistive acceleration sensors include a diaphragm which is formed by forming a thin circular surface using manufacturing technology of silicon semiconductors.
  • a spindle at the center is supported by the thin metal in order to readily detect the displacement caused by acceleration, the locational change of the diaphragm is detected by a piezoresistance device, and amplification and measurement are performed by an electric circuit.
  • Three-dimensional capacitive acceleration sensors detect a slight change in position of a minute movable part supported by a beam structure as a change in capacitance, and perform amplification and measurement by using an electric circuit.
  • Three-dimensional thermal detection acceleration sensors generate a thermal air current in an acceleration sensor housing by using a heater, and use a thermal resistance and the like to detect change of the convection caused by acceleration.
  • the acceleration sensor used herein is a three-dimensional capacitive acceleration sensor which has a measurement range from -2 g to +2 g (g: gravitational acceleration), for example.
  • the durability of main body case 2 is a durability corresponding to the quality assurance range of the mechanical strength for the measuring apparatus, which is assessed based on a mechanical strength test of a main body case (for example, a drop test of the measuring apparatus and the like) in the quality assessment or shipping inspection of measuring apparatuses.
  • the mechanical strength test is a test for determining whether the performance of the measuring apparatus is influenced by factors such as coming off of a component mounted to a substrate in the measuring apparatus, cracks in a substrate or the like, and breakage of a component itself when a drop test of the measuring apparatus as a completed product is performed (for example, a test in which an apparatus is dropped to the floor from heights of 1 m).
  • acceleration sensor 5 of a biological sample measuring apparatus of the present embodiment is disposed on substrate 4 inside main body case 2.
  • acceleration sensor 5 disposed as described above can detect the impact applied to the entire main body case 2. For example, an impact is possibly applied to the entire main body case 2 when main body case 2 is dropped during the measurement, or when main body case 2 is carelessly hit against surrounding objects.
  • a biological sample measuring apparatus of the present embodiment includes two acceleration sensors 5a and 5b.
  • Acceleration sensor 5a is provided at a location corresponding to sensor insertion section 1 of substrate 4 as in the case of Embodiment 1.
  • Acceleration sensor 5b is provided on substrate 4 inside main body case 2 as in the case of Embodiment 2.
  • two acceleration sensors 5a and 5b are provided at different locations, and thus the kinds of impact can be detected in detail by utilizing both of the detection results obtained by respective acceleration sensors. Consequently, the reliability of the measurement can be further increased.
  • acceleration sensor 5a can detect the impact and the like caused by a finger flicking the biological sample measuring sensor 11 at the time of the spot application of blood on spot application section 11a of biological sample measuring sensor 11 installed in sensor insertion section 1.
  • acceleration sensor 5a can detect the impact applied to the entire main body case 2.
  • acceleration sensor 5b can detect the impact applied to the entire main body case 2 since acceleration sensor 5b is disposed in main body case 2 at substantially the center thereof, but acceleration sensor 5b is insufficient to detect the impact caused by the flicking of biological sample measuring sensor 11.
  • acceleration sensor 5a when only acceleration sensor 5a has detected an impact greater than a predetermined value, it is determined that biological sample measuring sensor 11 is flicked by the user's finger at the time of the spot application. Then, the error message illustrated in FIG. 6C is displayed on display section 3. Meanwhile, when each of acceleration sensors 5a and 5b has detected an impact greater than a predetermined value, it is determined that the impact is applied to the entire main body case 2, and then the error message illustrated in FIG. 6D is displayed on display section 3 to call the user's attention.
  • sensor insertion section 1 is detachably provided in main body case 2 as illustrated in FIG. 9 and FIG. 10 .
  • the biological sample measuring apparatus of the present embodiment includes main body case 2 provided with acceleration sensor 5b and install section 16, and sensor insertion section 1 provided with acceleration sensor 5a and insertion detection section 12. And sensor insertion section 1 can be detachably installed in install section 16.
  • install section 16 is provided with connector section 16a having a plurality of connection terminals.
  • signals of acceleration sensor 5a and insertion detection section 12 which configure sensor insertion section 1 are transmitted via connector section 16a to determination section 9 and control section 8 which are included in control device 6 disposed on substrate 4 in main body case 2.
  • a signal of biological sample measuring sensor 11 inserted in sensor insertion section 1 is transmitted via connector section 16a to measurement section 7 disposed in control device 6. Thereafter, a biological sample (for example, blood, or the like) is measured (for example, blood glucose level is measured).
  • a biological sample for example, blood, or the like
  • Install section 16 of main body case 2 may be integrated with substrate 4. Specifically, install section 16 may be configured in such a manner that a plurality of connection terminals configuring connector section 16a are provided to substrate 4 on which control device 6 is mounted.
  • Replaceable sensor insertion section 1 may be provided with other sensors than acceleration sensor 5a (such as temperature sensor and humidity sensor, for example) together with acceleration sensor 5a.
  • acceleration sensor 5a such as temperature sensor and humidity sensor, for example
  • FIG. 10 illustrates a control block diagram of a biological sample measuring apparatus of the present embodiment.
  • the control block illustrated in FIG. 10 includes two acceleration sensors 5a and 5b which are connected to determination section 9 of control device 6.
  • a signal of acceleration sensor 5a is transmitted to determination section 9 via connector section 16a.
  • acceleration information (output information) of acceleration sensors 5a and 5b is input to determination section 9.
  • sensor insertion section 1 is replaceable in the biological sample measuring apparatus of the present embodiment, sensor insertion section 1 can be replaced when sensor insertion section 1 and its surrounding region are contaminated (for example, in the case where blood is adhered thereto).
  • cleaning can be easily carried out, excellent serviceability and maintainability are advantageously achieved, biological sample measuring apparatus can be kept sanitary, and as a result, improvement in reliability (for example, stable operation of biological sample measuring apparatus) is achieved.
  • FIG. 11 illustrates an internal sectional view of sensor insertion section 1 and its surroundings of the biological sample measuring apparatus of the present embodiment, and illustrates a state where biological sample measuring sensor 11 is inserted in sensor insertion section 1.
  • a connection terminal (not illustrated) of biological sample measuring sensor 11 and contact section 21 of contact pin 20 are in contact with each other, and electrically connected to each other. It is to be noted that, in FIG. 11 , portions corresponding to main electric circuits such as the control section are omitted for convenience.
  • Acceleration sensor 5a is disposed in contact with contact pin 20. In addition, acceleration sensor 5a is electrically connected to substrate 4 via wiring 29.
  • the distal end (connection terminal) of biological sample measuring sensor 11 inserted in sensor insertion section 1 is locked at protrusion 22. That is, protrusion 22 functions as a stopper for biological sample measuring sensor 11.
  • FIG. 11 illustrates a state where biological sample measuring sensor 11 is locked at protrusion 22, or in other words, a state where biological sample measuring sensor 11 is appropriately set in sensor insertion section 1.
  • the biological sample measuring apparatus in FIG. 8 includes acceleration sensor 5a which is a part of sensor insertion section 1 and is provided on substrate 4, whereas the biological sample measuring apparatus in FIG. 11 includes acceleration sensor 5a which is a part of sensor insertion section 1 and is attached so as to be in contact with contact pin 20.
  • contact pin 20 When biological sample measuring sensor 11 is inserted in sensor insertion section 1, contact pin 20 is bent in an arrow X direction. Acceleration sensor 5a attached in contact with contact pin 20 detects an oscillation of contact pin 20. In this manner, the insertion of biological sample measuring sensor 11 can be detected by acceleration sensor 5a. Likewise, the ejection of biological sample measuring sensor 11 from sensor insertion section 1 can be detected by acceleration sensor 5a.
  • acceleration sensor 5a can surely detect an impact caused when a "bending" state of biological sample measuring sensor 11 caused by the finger is forcefully cancelled, and/or an impact caused by the finger or the like making contact with biological sample measuring sensor during the measurement.
  • an impact since it is highly possible that the measured value is unreliable, warning of a measurement defect can be displayed, without displaying the measured value.
  • the reagent in biological sample measuring sensor 11 and the like move from a given position, and thus an excessively small or excessively great measured value (blood glucose level) may be obtained erroneously.
  • an excessively small or excessively great measured value blood glucose level
  • an inappropriate amount of insulin may be administered, and thus an accident may be caused.
  • insulin is administered more than necessary based on the excessively small measured value, thus causing an accident leading to hypoglycemia which is a very dangerous condition.
  • the blood measuring apparatus of the present invention can surely prevent such a problem.
  • acceleration sensor 5a and acceleration sensor 5b when each of acceleration sensor 5a and acceleration sensor 5b has detected an impact greater than a predetermined value, it is determined that the measuring apparatus itself has hit something and received an impact, and a measurement error message is displayed. Then, a warning which urges a confirmation whether the measuring apparatus itself can be operated.
  • acceleration sensor 5a When only acceleration sensor 5a has detected an impact greater than a predetermined value, it is determined that a finger or the like may have made contact with biological sample measuring sensor 11 during the measurement, and a measurement error message is displayed. Then, an attention message that urges a remeasurement and more careful operation is displayed.
  • acceleration sensor 5a can also detect both the insertion and ejection of sample measuring sensor 11.
  • the sensitivity of acceleration sensor 5a provided in sensor insertion section 1 and the sensitivity of acceleration sensor 5b on substrate 4 in FIG. 11 may cover respective measurement ranges different from each other.
  • the sensitivity of acceleration sensor 5a is about two to ten times higher than that of acceleration sensor 5b.
  • the threshold level L1 is a threshold level for detecting the insertion and ejection of biological sample measuring sensor 11, and for example, may be set within the range of about 0.01 g to about 0.3 g.
  • the threshold level L2 is a threshold level for detecting the fact that a finger or the like has made contact with the biological sample measuring sensor during the measurement (or a threshold level for detecting a possibility that the measured value lacks reliability), and for example, may cover a range of about 0.005 g to about 0.3 g.
  • the threshold level L3 is a threshold level for determining that the measurement itself cannot be made, and for example, is desirably 0.5 g or more.
  • threshold levels L1 to L3 are as follows, for example. L 1 ⁇ L 3 L 2 ⁇ L 3 L 1 ⁇ L 2 or L 1 > L 2
  • threshold level L1 and threshold level L2 when the relationship between the threshold level L1 and threshold level L2 is set to L1>L2, even an impact (acceleration) smaller than the impact (acceleration) caused at the time of insertion or ejection of biological sample measuring sensor 11 is determined to be an error, and therefore high safety can be ensured.
  • the threshold levels L1 to L3 may be compared with acceleration data measured by both acceleration sensor 5a and acceleration sensor 5b; however, in terms of the purpose thereof, it is presumably more effective to compare the threshold level L1 and threshold level L2 mainly with acceleration data measured by acceleration sensor 5a provided in sensor insertion section 1, and to compare the threshold level L3 with acceleration data measured at acceleration sensor 5b provided on substrate 4.
  • acceleration sensors having sensitivities different from each other may be selected for acceleration sensor 5a and acceleration sensor 5b as described above.
  • acceleration sensor 5a attached in sensor insertion section 1 (on contact pin 20 in FIG. 11 ), and acceleration sensor 5b disposed on substrate 4 in the apparatus are each a three-dimensional acceleration sensor.
  • FIG. 12A illustrates a relationship between axes of three-dimensional acceleration sensor (X axis, Y axis, and Z axis) and the biological sample measuring sensor.
  • the X axis is in parallel to the longitudinal direction of plate-shaped biological sample measuring sensor 11
  • the Y axis is orthogonal to the X axis
  • the Z axis is orthogonal to the X axis and Y axis, that is, perpendicular to the X-Y plane.
  • This relationship is merely an example, and it is only necessary that all of the plurality of acceleration sensors are so set as to have the same standard axis.
  • the direction in parallel to the longitudinal direction of the biological sample measuring sensor is defined as the X axis serving as the standard axis in FIG. 12A
  • the direction in parallel to the longitudinal direction of the biological sample measuring sensor may be defined as the Y axis serving as the standard axis
  • the direction in parallel to the longitudinal direction of biological sample measuring sensor may be defined as the Z axis serving as the standard axis.
  • the three-dimensional acceleration sensors are so set as to have a common (same) X axis, Y axis, and Z axis.
  • the accelerations GA and GB are expressed as follows.
  • the accelerations GA and GB each represent a vector value showing the direction and magnitude as illustrated in FIG. 12B .
  • GAx, GAy, and GAz represent x, y, and z components of GA, respectively.
  • GBx, GBy, and GBz represent x, y, and z components of GB, respectively (the same shall apply hereinafter).
  • GA GAx + GAy + GAz (this expresses the vectorial sum of X-, Y-, and Z-axis components)
  • GB GBx + GBy + GBz (this expresses the vectorial sum of X-, Y-, and Z-axis components)
  • the measured accelerations GA and GB are defined as follows according to when the measurement is made.
  • Determination can be made as follows based on measured accelerations GA2 and GB2.
  • measured accelerations GA2 and GB2 cannot be obtained, it is determined that the biological sample measuring apparatus itself is an error (broken).
  • threshold level L3 it is determined that the biological sample cannot be measured, and confirmation whether the measuring apparatus is broken and remeasurement are requested.
  • threshold level L3 measured accelerations GA2 and GB2 > threshold level L2
  • measured accelerations GA2 and GB2 ⁇ threshold level L2 it is determined that the measurement has been appropriately made.
  • determination can also be made as follows based on X-, Y-, and Z-axis components (measured acceleration components) of measured accelerations GA2 and GB2.
  • measured acceleration components GA2x, GA2y, GA2z, GB2x, GB2y or GB2z > threshold level L3 it is determined that an impact is received during the measurement of blood glucose level, and therefore blood glucose level cannot be measured.
  • measured acceleration component GB2z (GB2x, or GB2y) > threshold level L2” it is determined that an impact is received during the measurement, and therefore blood glucose level may have not been appropriately measured.
  • measured acceleration component GA2x, GA2y, GA2z, GB2x, GB2y and GB2z ⁇ threshold level L2 it is determined that the measurement has been appropriately made.
  • FIG. 12C illustrates an exemplary output signal waveform Wg in a Z-axial direction, which is one of signals output from three-dimensional acceleration sensor 5a when a finger or the like makes contact with biological sample measuring sensor 11 during the measurement of blood glucose level.
  • Wg output signal waveform
  • FIG. 12C illustrates an exemplary output signal waveform Wg in a Z-axial direction, which is one of signals output from three-dimensional acceleration sensor 5a when a finger or the like makes contact with biological sample measuring sensor 11 during the measurement of blood glucose level.
  • an output signal Wg in a form of an oscillation waveform in FIG. 12C is output from acceleration sensor 5a.
  • the value of the measured acceleration of GAz largely oscillates up and down (that is, in the positive /negative direction) with respect to the center: 0, and attenuates as time t passes.
  • the data of the output signal Wg representing the change of the value of the measured acceleration in the Z-axial direction is retrieved at determination section 9 from three-dimensional acceleration sensor 5a, and stored in memory section 10.
  • the pieces of measured acceleration data of acceleration sensor 5a and the threshold level L2 are compared, and it is determined at determination section 9 whether the threshold level L2 is exceeded.
  • initial peak values of the Z-axis output signal Wg P1, P3, P5 and the like as the positive peak values and P2, P4, P6 and the like as the negative peak values
  • the values thus obtained are compared with the threshold level L2 for determination during the measurement of acceleration sensor 5a.
  • the peak value P1 is greater than the positive threshold level L2 (+L2), and/or when the peak value P2 is smaller than the negative threshold level L2 (-L2), it is determined to be an error.
  • the output signal Wg includes positive peak values P1 and P3 which are greater than the threshold level +L2, and has a form of an oscillation waveform.
  • the output signal Wg includes negative peak values P2 and P4 which are lower than the threshold level -L2, and has a form of an oscillation waveform.
  • the oscillation waveform illustrated in FIG. 12C is not obtained, and only one peak value is typically shown. Specifically, not the waveform whose peak value gradually attenuates as time passes as illustrated in FIG. 12C , but a waveform whose large peak value abruptly attenuates after the peak value is caused at the time of the impact as illustrated in FIG. 12D is typically obtained.
  • FIG. 12D illustrates an exemplary output signal Wg of the Z-axis component of three-dimensional acceleration sensor 5a in the case of "dropping of the measuring apparatus or clashing of the measuring apparatus with external objects."
  • peak P1 at the time of the impact has a high peak value exceeding not only the threshold level +L2 but also the positive threshold level L3 (+L3: the threshold level L3 is "a threshold level at which the measurement itself is determined to be impossible”).
  • errors are discriminated from each other by comparison between the threshold level L3 (+L3) and a peak value P1 in the measured acceleration data of the Z-axis component of the measured acceleration GA (or GA2 during the measurement) of capacitance-type three-dimensional acceleration sensor 5a.
  • FIG. 12D illustrates an exemplary case where both of the peak values of P1 and P2 are greater than the threshold level L3, this is not limitative.
  • only peak P1 may be greater than the threshold level L3, or only peak P2 may be greater than the threshold level L3. This is because the impact is applied with variety of intensities and directions, and therefore cannot be limited to a single type of impact. Accordingly, it is necessary to compare the threshold levels (+L3, -L3, and the like) with the peak values on the positive side and negative side.
  • the error of FIG. 12D can be discriminated from the error caused by "a finger or the like making contact with biological sample measuring sensor" based on the fact that the oscillation waveform as illustrated in FIG. 12C is not obtained in the case of FIG. 12D .
  • the output signal Wg from the acceleration sensors is monitored in the present invention, it is possible to discriminate not only the magnitudes of the impact, but also the causes of the impact by checking the waveform of the output signals Wg (by checking whether an oscillation waveform is obtained, for example). Consequently, an instruction, display, and notification of caution and warning can be correctly presented to the user at the time of the biological sample measurement, and thus, the safety and reliability of the measuring apparatus are improved.
  • FIG. 12C illustrates an example of a gradually attenuating oscillation waveform
  • the form of the waveform is not limited to this.
  • factors such as the peak values, the frequency or cycle of the oscillation, and the attenuation time may vary, and therefore various waveforms may be obtained.
  • a momentary waveform may be observed in the case where the measuring apparatus is dropped and the like. As described, the impact is applied to the measuring apparatus from the outside in various manners, and therefore various waveform patterns are conceivable.
  • the measured acceleration component can be compared with the threshold level L2 or L3.
  • the measured acceleration component can be compared with the threshold level L2 or L3.
  • the determination can be made more accurately not only by comparing the components of the measured acceleration (GB2x, GB2y, GB2z, and the like) with the threshold levels L1 to L3, but also by comparing the synthesized measured accelerations GA2 and GB2 with the threshold levels L1 to L3.
  • FIG. 13 illustrates an exemplary waveform pattern of an applied voltage for use in the blood glucose level measurement.
  • measurement timings of the acceleration sensor are described.
  • FIG. 13 illustrates a waveform of an applied voltage supplied from the measuring apparatus to the detection electrode (electrode for the measurement such as a working electrode and counter electrode) of the biological sample measuring sensor for the purpose of measuring blood glucose levels (glucose level).
  • FIG. 13 illustrates the case where multi(three)-pulse waveforms (rectangular waves) are applied.
  • a voltage V1 (e.g., 350 mV or a voltage in the range of 100 to 800 mV can be adopted) is applied for a time t1 (e.g., for two seconds, or about 0.5 seconds to about 5 seconds) from the start of the measurement.
  • a voltage is not applied for a time t4 (e.g., for one second or about 0.1 second to about 3 seconds) subsequent to the time t1.
  • a voltage V2 e.g., 250 mV or a voltage in the range of 100 to 800 mV can be adopted
  • a time t2 (e.g., for two seconds or 0.5 to 5 seconds).
  • a voltage is not applied for a time t5 (e.g., for 0.1 second, or 0 to 0.1 second) subsequent to the time t2. Further, as a pulse PW3, a voltage V3 (e.g., 2.5 V or 1.5 to 3.5 V) is applied for a time t3 (e.g., for 0.5 seconds or 0.1 to 2 seconds).
  • a voltage V3 e.g., 2.5 V or 1.5 to 3.5 V
  • a time t3 e.g., for 0.5 seconds or 0.1 to 2 seconds.
  • the pulse PW1 and pulse PW2 each represent a voltage application for measuring a glucose level, or a voltage application for measuring interfering substances (substances that have influence on the glucose level measurement).
  • the pulse PW3 represents a voltage application for measuring an Hct (hematocrit) level.
  • FIG. 14 illustrates signals output from the detection electrode (a working electrode and a counter electrode, for example) of the biological sample measuring sensor at the time of a blood glucose level measurement, for example, upon application of the pulse voltages illustrated in FIG. 13 .
  • W1 represents a signal output from the detection electrode (a working electrode and a counter electrode, for example) upon application of the pulse voltage PW1 (applied voltage V1 and applied time t1).
  • W2 represents an output signal upon application of the pulse voltage PW2 (applied voltage V2 and applied time t2).
  • These signals are output signals corresponding to reaction currents generated by redox reactions in the biological sample measuring sensor, that is, glucose levels.
  • W3 represents a signal output from an Hct electrode upon application of the pulse voltage PW3 (applied voltage V3 and applied time t3). That is, an output signal corresponding to an Hct level.
  • a glucose level blood glucose level
  • PW3 applied voltage V3 and applied time t3
  • the above-mentioned case where "impact is applied to the measuring apparatus" includes the case where an impact is applied to the measuring apparatus from the outside, the case where the measuring apparatus is dropped, the case where a finger makes contact with the biological sample measuring sensor, the case where a finger is strongly pressed against the biological sample measuring sensor such that the sensor is deflected when blood is spotted on the biological sample measuring sensor, and the like.
  • the acceleration sensor incorporating the measuring apparatus is used. Specifically, when whether an impact is caused during the measurement is accurately detected, and an impact is detected during the measurement, the measured data is determined to be inaccurate. Therefore, the measured data is not displayed, but an error message is displayed to urge a remeasurement and the like. As a result, only reliable measured values are displayed on the display section, and thus the reliability as a measuring apparatus is improved.
  • the output signal W1, W2 or W3 in FIG. 15 typically has an abnormal waveform. Accordingly, the impact can also be detected based on the waveform of the output signal W1, W2 or W3.
  • the signals are not output during a time period in which a voltage is not applied (time periods t4 and t5 in FIG. 13 ) and immediately before the start of the measurement (before a voltage is applied), and therefore it is difficult to detect an impact based on the output signal waveform. Hence the detection using the acceleration sensor is important.
  • FIG. 13 and FIG. 14 illustrate the case where the applied voltage has a multiple waveform including three waveforms of PW1, PW2, and PW3, similar effects can be obtained with a multiple waveform including two waveforms (when the voltage application for the Hct value measurement is not carried out), and with a multiple waveform including four or more waveforms (three or more voltage applications for the glucose measurement).
  • a multiple waveform including two waveforms when the voltage application for the Hct value measurement is not carried out
  • a multiple waveform including four or more waveforms three or more voltage applications for the glucose measurement
  • FIG. 15 illustrates a modification of the biological sample measuring apparatus for blood glucose level measurement and the like in FIG. 9 and FIG. 10 , and illustrates a biological sample measuring apparatus including measuring apparatus main body 40 having display section 47, and cover 41 for covering part of measuring apparatus main body 40.
  • Cover 41 is provided with sensor insertion section 1 for insertion of biological sample measuring sensor 11, and further, acceleration sensor 5a on a rear surface thereof.
  • Acceleration sensor 5a provided on the rear surface of cover 41 is electrically connected to electric circuits of the control section and the like incorporated in main body 40 via wiring 42, connecting section 43, connecting section 44 of main body when cover 41 is installed to measuring apparatus main body 40.
  • power is supplied to acceleration sensor 5a from apparatus main body 40 by way of connecting section 44 and/or the like when cover 41 is installed to apparatus main body 40, and in addition, a signal from acceleration sensor 5a can be sent to the apparatus main body 40.
  • biological sample measuring sensor 11 makes contact with connection electrode section 11b (which is connected to detection electrodes for measurement such as a working electrode and a counter electrode) of biological sample measuring sensor 11, and a plurality of contact pins 45 disposed at sensor contact section 46 of measuring apparatus main body 40, thereby establishing an electrical connection to the electric circuits of the measurement section and the like in measuring apparatus main body 40.
  • acceleration sensor 5a When acceleration sensor 5a is provided to replaceable cover 41 in the biological sample measuring apparatus illustrated in FIG. 15 , acceleration sensors having different sensitivities can be used by replacing cover 41.
  • acceleration sensor 5b (not illustrated) may be provided on substrate 4 of measuring apparatus main body 40. By making the sensitivities of the two acceleration sensors 5a and 5b different from each other, impacts of different magnitudes can be detected. Consequently, the impact caused when biological sample measuring sensor 11 is touched is detected with high sensitivity, and thus it is possible to improve the detection performance during the measurement and to achieve more reliable measurement and a more reliable measuring apparatus.
  • FIG. 16 illustrates an operational flow in which whether "additional application” as the above-mentioned additional spotting has been carried out is detected by acceleration sensor 5a and/or the like.
  • the additional application is detected by acceleration sensor 5a disposed in sensor insertion section 1 (see FIG. 11 , for example).
  • steps S21 to S33 are described in detail.
  • S21 The installment of biological sample measuring sensor 11 is confirmed. Whether biological sample measuring sensor 11 is installed to sensor insertion section 1 (see FIG. 11 , for example) is confirmed by confirming the conduction/resistance value between terminals of contact section 16a on the measuring apparatus (a plurality of contact pins 20, see FIG. 9 , FIG. 15 , for example) that makes contact with connection electrode section 11b (see FIG. 12 , for example) of biological sample measuring sensor 11. When the installment of biological sample measuring sensor 11 is confirmed, the process is advanced to step S22.
  • a main power source of measuring apparatus is turned ON.
  • display section 3 see FIG. 1 , for example
  • the main power source may be turned ON by pushing a power source button of measuring apparatus.
  • S23 The model of installed biological sample measuring sensor 11 is determined. The model determination is carried out based on the difference of a pattern and the like provided at connection electrode section 11b of biological sample measuring sensor 11.
  • step S24 When the model thus determined is not a proper model, the process is advanced to step S25, whereas when the model thus determined is a proper model, the process is advanced to step S26.
  • a model error message (in FIG. 16 , error code "E7" is displayed, and an instruction to replace biological sample measuring sensor 11 with a proper model is issued. Then, the process is returned to S21.
  • S26 A message that urges "spot application of blood” is displayed to urge the user to spot blood on biological sample measuring sensor 11.
  • S27 Whether blood has been spotted on spot application section 11a of biological sample measuring sensor 11 is determined.
  • a plurality of "detection electrodes" are provided along a flow direction of blood, and change in resistance value and the like are detected between the detection electrodes when inflow of blood occurs. For example, at first, spot application is detected at a first detection electrode nearest spot application section 11a of biological sample measuring sensor 11.
  • spot application of blood has been confirmed, the process is advanced to step S28.
  • the spot application of blood may be indirectly detected by acceleration sensor 5a (see FIG. 11 , for example).
  • acceleration sensor 5a see FIG. 11 , for example.
  • a user spots blood exuded from a finger on spot application section 11a disposed at an end of biological sample measuring sensor 11, the finger naturally makes contact with biological sample measuring sensor 11. The contact thus made can be detected at acceleration sensor 5a. In that case, it is only necessary to detect the contact between the finger and biological sample measuring sensor 11.
  • the second detection electrode be disposed at a position farthest from spot application section 11a, but it suffices that the second detection electrode is disposed on the depth side of the capillary relative to the detection electrodes such as a working electrode and counter electrode for detecting an oxidation-reduction reaction current (distal side from spot application section 11a).
  • a time period (suspension time period for additional application) during which the operation is suspended until "additional application (additional spotting)" is received is set.
  • the additional application suspension time is, for example, about 10 seconds to about 120 seconds, preferably, 15 to 60 seconds.
  • step 31 Whether the user's finger has made contact with spot application section 11a is detected by acceleration sensor 5a (see FIG. 11 , for example) to determine whether additional spotting has been carried out on biological sample measuring sensor 11.
  • step 31 is similar to step S27, and the threshold level L4 is set as in the case of step S27.
  • the process is advanced to step S32.
  • additional spotting cannot be detected, the process is returned to step S30.
  • step S32 Similarly to the above-mentioned step S28, inflow of blood is detected according to change in resistance value and the like between the second detection electrode disposed at a position farthest (most distant in the depth direction) from spot application section 11a and a predetermined electrode.
  • the process is advanced to step S33.
  • the process is returned to step S30.
  • spot application amount the amount of a sample (specimen) such as blood
  • it is determined that the measurement can be made a message "spot application is completed” is displayed, and then blood glucose level is measured.
  • the present invention includes a main body case including a sensor insertion section; a measurement section connected to the sensor insertion section; a control section connected to the measurement section; and a display section connected to the control section, wherein an acceleration sensor that detects an impact applied to the sensor insertion section is provided.
  • a main body case including a sensor insertion section; a measurement section connected to the sensor insertion section; a control section connected to the measurement section; and a display section connected to the control section, wherein an acceleration sensor that detects an impact applied to the sensor insertion section is provided.
  • the acceleration sensor detects an impact applied to the sensor insertion section via a biological sample measuring sensor, for example.
  • a biological sample measuring sensor for example.
  • the impact detected by the acceleration sensor is greater than a predetermined value, it is possible to determine the measurement result measured by the measurement section to be inadequate, and to display, on the display section, the fact that the measurement result is inadequate without displaying the measured value. Therefore, an inadequate measurement result with unreliability is prevented from being displayed, and improvement in measurement accuracy is achieved. Consequently, utilization of a biological sample measuring apparatus of the present invention as a biological sample measuring apparatus for measuring blood glucose levels, lactate level, and the like is anticipated.

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Claims (9)

  1. Appareil de mesure d'échantillon biologique comprenant :
    un boîtier de corps principal (2) incluant une section d'insertion de capteur (1),
    une section de mesure (7) connectée à la section d'insertion de capteur,
    une section de commande (8) connectée à la section de mesure ; et
    une section d'affichage (3) connectée à la section de commande, où
    la section d'insertion de capteur inclut une broche de contact (20) qui est configurée pour entrer en contact avec une électrode du capteur de mesure d'échantillon biologique quand le capteur de mesure d'échantillon biologique est inséré dans la section d'insertion de capteur,
    caractérisé en ce qu'un capteur d'accélération (5) est disposé en contact avec la broche de contact ;
    la broche de contact est pliable de manière à osciller;
    une oscillation du capteur de mesure d'échantillon biologique est configurée pour être transmise au capteur d'accélération via la broche de contact ; et
    le capteur d'accélération est configuré pour détecter un impact sur la section d'insertion de capteur.
  2. Appareil de mesure d'échantillon biologique selon la revendication 1 comprenant en outre :
    une section de détermination connectée au capteur d'accélération, la section de détermination détectant un signal sorti par le capteur d'accélération lors d'un impact ; et
    une section mémoire connectée à la section de détermination, où
    la section de détermination et la section de mémoire sont connectées à la section de commande.
  3. Appareil de mesure d'échantillon biologique selon la revendication 1, où le capteur d'accélération est un capteur d'accélération tridimensionnel.
  4. Appareil de mesure d'échantillon biologique selon la revendication 1 comprenant en outre un second capteur d'accélération.
  5. Appareil de mesure d'échantillon biologique selon la revendication 4, où
    au moins un des capteurs que sont le capteur d'accélération et le second capteur d'accélération est un capteur d'accélération tridimensionnel.
  6. Appareil de mesure d'échantillon biologique selon la revendication 4, où
    quand le capteur d'accélération et le second capteur d'accélération ont chacun détecté un impact supérieur à une valeur prédéterminée, la section d'affichage affiche un message d'avertissement demandant de confirmer si l'appareil de mesure d'échantillon biologique peut être utilisé.
  7. Appareil de mesure d'échantillon biologique selon la revendication 4, où
    quand seul le capteur d'accélération a détecté un impact supérieur à une valeur prédéterminée, la section d'affichage affiche un message d'avertissement conseillant une utilisation plus soigneuse.
  8. Appareil de mesure d'échantillon biologique selon la revendication 4, où
    la sensibilité du capteur d'accélération est supérieure à celle du second capteur d'accélération.
  9. Appareil de mesure d'échantillon biologique selon la revendication 1, où
    le capteur d'accélération détecte un impact d'une opération d'éjection pour éliminer le capteur de mesure d'échantillon biologique.
EP12765681.7A 2011-03-28 2012-03-28 Dispositif pour mesurer un échantillon biologique Active EP2693208B1 (fr)

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JP6209657B2 (ja) 2017-10-04
EP2693208A4 (fr) 2014-08-13
WO2012132432A1 (fr) 2012-10-04
CN103354901B (zh) 2015-09-09
US20130334041A1 (en) 2013-12-19
JP2015206804A (ja) 2015-11-19
JP6000418B2 (ja) 2016-09-28
EP3270147A1 (fr) 2018-01-17
CN103354901A (zh) 2013-10-16
JP2017021038A (ja) 2017-01-26
EP3270147B1 (fr) 2023-08-02
EP2693208A1 (fr) 2014-02-05
JPWO2012132432A1 (ja) 2014-07-24
US8834691B2 (en) 2014-09-16
JP5798618B2 (ja) 2015-10-21

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